Lewis, Kathy Tialdimpar
Lewis, Kathy Tialdimpar is an individual health care provider with primary practice located at 4060 Fairmount Ave , San Diego CA 92105-1608. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lewis, Kathy Tialdimpar can be contacted via phone (619) 255-9155.Contact Information
Primary practice address
4060 Fairmount Ave
San Diego CA 92105-1608
Phone: (619) 255-9155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95025965 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R218145 | Maryland |
Profile Details
| NPI number | 1285348987 |
|---|---|
| LBN Legal business name | Lewis, Kathy Tialdimpar |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2023 |
| Last updated | Jan 22nd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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